Wendy Odell, BBA, CHIM, CPHIMS-CA Manager, Clinical Informationodellw@ontarioshores.caContactsIn October 2014 Ontario Shores became the first hospital in Canada and the first mental health hospital in the world to receive the prestigious HIMSS EMRAM Stage 7 award. This designation is awarded to healthcare organizations for having a completely paperless health information system which advances the use of patient data to ultimately improve process and performance....minimizing the variability ...Recovery. Hope.

YEAR ONELearning Objectives:

1. Become familiar with the methodology to implement clinical practice guidelines (CPGs).

2. Develop an understanding of strategies embedded CPGs in documentation.

3. Appreciate how clinical dashboards can be used to achieve quality improvement objectives.Interprofessional referralsNursing interventionCompared to the hospitalClinical Practice Guidelines (CPGs):

Best practice approach to assessment, diagnosis, and treatment of disordersCreated at a national and international level, by a panel of expertsOntario Shores is committed to implementing CPGS annually over 5 years Learning Objectives:

1. Become familiar with the methodology to implement clinical practice guidelines (CPGs).

2. Develop an understanding of strategies embedded CPGs in documentation.

3. Appreciate how clinical dashboards can be used to achieve quality improvement objectives.Recommended guidelinesOptional ...DiagnosisYEAR TWOClinical Practice Guidelines for SchizophreniaQuality Improvement using DashboardsIn October 2015 Ontario Shores was named a 2015 HIMSS Enterprise Davies Award recipient. The Davies Awards program promotes electronic health record-enabled improvement in patient outcomes.- Assessment and treatment of inpatients with schizophrenia - Metabolic monitoring inpatients and outpatients - Realignment of therapeutic services- CBT for psychosis- Supportive employment - Caregiver assessment- Music/art therapyAutomated Physician Decision support Implementing Clinical Practice Guidelines at Ontario ShoresPlanningImplementationand... ADOPTION!TrainingOptimizationPervasiveness of Use!With these in place, we were able to begin building decision support in clinical documentation.Adoption!Schizophrenia

1. Diagnosis driven care pathways2. Inter-professional collaboration prompted by documentation 3. Practice guidelines used in order managementReminders every day until completedStandard Patient Health TeachingYou just learned...

1. Standardizing delivery of patient education2. Standardizing documentation of medication3. Methods to improve documentation leveraging system and process flowCPGs were created using a nine-step process:

... many other templates/referrals were used for this care pathway. Please contact us for more information.

... many other templates/referrals were used for this care pathway. Please contact us for more information.DocumentationOrders and documentation triggered evidence based assessmentsData collection. Dashboard design.Reports discussed in committees and with user representative for analysis and recommendationsDashboards sent to Senior management team, Physicians and, charge nurses.Quality initiatives and recommendations implementationFeedback, feedback, feedback!Program and Unit DashboardPhysician DashboardCompliance MonitoringCompliance Monitoring